|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$18.35 |
$18.35 |
$18.35 |
$17.75
|
|
Dipyridamole injection
|
$30.01 |
$30.01 |
$30.01 |
$47.87
|
|
Disability dlco
|
$69.46 |
$69.46 |
$69.46 |
$282.40
|
|
Disaccharidases
|
$92.92 |
$92.92 |
$92.92 |
$216.00
|
|
Dna antibody native/double stranded
|
$57.96 |
$57.96 |
$57.96 |
$97.50
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$61.67 |
$61.67 |
$61.67 |
$98.43
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$321.35 |
$321.35 |
$321.35 |
$904.81
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$36.22 |
$36.22 |
$36.22 |
$65.40
|
|
Doppler echo complete
|
$341.55 |
$341.55 |
$341.55 |
$540.00
|
|
Doppler intravascular pressure flow initial vessel
|
$350.75 |
$350.75 |
$350.75 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$111.78 |
$111.78 |
$111.78 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$280.83 |
$280.83 |
$280.83 |
$471.17
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$159.50 |
$159.50 |
$159.50 |
$423.95
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$797.90 |
$797.90 |
$797.90 |
$1,718.24
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$198.03 |
$198.03 |
$198.03 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$198.03 |
$198.03 |
$198.03 |
$914.34
|
|
Drainage external ear simple 69000
|
$198.03 |
$198.03 |
$198.03 |
$789.60
|
|
Drainage mouth roof lesion
|
$122.82 |
$122.82 |
$122.82 |
$390.39
|
|
Drainage of arm bursa 23931
|
$838.58 |
$838.58 |
$838.58 |
$2,197.48
|
|
Drainage of eye
|
$1,611.38 |
$1,611.38 |
$1,611.38 |
$2,360.00
|
|
Drainage of mouth lesion
|
$1,891.98 |
$1,891.98 |
$1,891.98 |
$3,544.29
|
|
Drainage of nose lesion int 30000
|
$100.97 |
$100.97 |
$100.97 |
$491.40
|
|
Drainage of nose lesion sept 30020
|
$122.82 |
$122.82 |
$122.82 |
$781.44
|
|
Drain blood from under nail 11740
|
$37.26 |
$37.26 |
$37.26 |
$170.50
|
|
Drain cerebro spinal fluid 62272
|
$302.68 |
$302.68 |
$302.68 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$88.09 |
$88.09 |
$88.09 |
$419.00
|
|
Drain thigh/knee lesion 27301
|
$658.26 |
$658.26 |
$658.26 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$149.96 |
$149.96 |
$149.96 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$92.46 |
$92.46 |
$92.46 |
$344.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$160.08 |
$160.08 |
$160.08 |
$523.00
|
|
Drng of eyelid abscess 67700
|
$100.51 |
$100.51 |
$100.51 |
$648.00
|
|
Drng of hydrocele 55000
|
$157.55 |
$157.55 |
$157.55 |
$832.60
|
|
Drng of scrotum abscess 55100
|
$454.48 |
$454.48 |
$454.48 |
$1,917.33
|
|
Dronabinol 2.5mg oral
|
$26.10 |
$26.10 |
$26.10 |
$10.17
|
|
Droperidol 2.5 mg/ml injection solution
|
$14.98 |
$14.98 |
$14.98 |
$31.07
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$787.29 |
$787.29 |
$787.29 |
$289.05
|
|
Drug admin & hemodynmic meas
|
$119.83 |
$119.83 |
$119.83 |
$569.75
|
|
Drug assay posaconazole
|
$12.88 |
$12.88 |
$12.88 |
$96.75
|
|
Drug assay rufinamide
|
$17.71 |
$17.71 |
$17.71 |
$85.80
|
|
Drug assay voriconazole
|
$12.42 |
$12.42 |
$12.42 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$14.26 |
$14.26 |
$14.26 |
$66.43
|
|
Drug of abuse screen urine
|
$12.88 |
$12.88 |
$12.88 |
$63.75
|
|
Drug test def 1-7 classes
|
$73.83 |
$73.83 |
$73.83 |
$250.52
|
|
Drug test prsmv instrmnt
|
$16.79 |
$16.79 |
$16.79 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$68.08 |
$68.08 |
$68.08 |
$278.85
|
|
Dstrj nulyt agt gnclr nrv
|
$1,328.02 |
$1,328.02 |
$1,328.02 |
$3,020.80
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$458.16 |
$458.16 |
$458.16 |
$887.25
|
|
Ear irrigation 69209
|
$21.62 |
$21.62 |
$21.62 |
$149.76
|
|
Ecg 12 lead tracing only
|
$85.10 |
$85.10 |
$85.10 |
$226.50
|
|
Ecg external < 48 hours recording
|
$201.71 |
$201.71 |
$201.71 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$201.71 |
$201.71 |
$201.71 |
$541.20
|
|
Echocardiogram (Heart Ultrasound)
|
$868.25 |
$868.25 |
$868.25 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$112.01 |
$112.01 |
$112.01 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$875.38 |
$875.38 |
$875.38 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$252.54 |
$252.54 |
$252.54 |
$703.25
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$527.62 |
$527.62 |
$527.62 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$125.81 |
$125.81 |
$125.81 |
$362.50
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$416.07 |
$416.07 |
$416.07 |
$985.15
|
|
Edetate calcium disodium inj
|
$9,973.73 |
$9,973.73 |
$9,973.73 |
$8,569.35
|
|
Eeg 41-60 minutes 95812-26
|
$312.34 |
$312.34 |
$312.34 |
$920.00
|
|
Eeg over 1 hour 95813 - 26
|
$343.16 |
$343.16 |
$343.16 |
$1,102.05
|
|
Eeg recording awake and asleep
|
$346.84 |
$346.84 |
$346.84 |
$931.20
|
|
Ehrlicha chaffeensis amp prb
|
$25.99 |
$25.99 |
$25.99 |
$93.00
|
|
Electrolyte panel
|
$126.50 |
$126.50 |
$126.50 |
$84.24
|
|
Electrophysiology evaluation
|
$884.12 |
$884.12 |
$884.12 |
$2,451.90
|
|
Embo or occlude vascular hemorrhage s&i
|
$5,289.08 |
$5,289.08 |
$5,289.08 |
$14,586.00
|
|
Emb without cervical dilation 58100
|
$76.13 |
$76.13 |
$76.13 |
$370.50
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$498.41 |
$498.41 |
$498.41 |
$2,756.52
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$102.38 |
$102.38 |
$102.38 |
$109.71
|
|
Enzyme histochemistry
|
$242.42 |
$242.42 |
$242.42 |
$471.60
|
|
Epidural/lumbar/sacral/ea add level64484
|
$485.07 |
$485.07 |
$485.07 |
$1,141.80
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$256.27 |
$256.27 |
$256.27 |
$248.81
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$55.75 |
$55.75 |
$55.75 |
$129.30
|
|
Epstein barr early antigen antibody
|
$19.32 |
$19.32 |
$19.32 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$25.76 |
$25.76 |
$25.76 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$84.41 |
$84.41 |
$84.41 |
$91.00
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$159.60 |
$159.60 |
$159.60 |
$393.98
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$811.49 |
$811.49 |
$811.49 |
$2,488.75
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$130.98 |
$130.98 |
$130.98 |
$222.98
|
|
ER Visit (level 1, minor)
|
$116.38 |
$116.38 |
$116.38 |
$246.24
|
|
ER Visit (level 2)
|
$150.65 |
$150.65 |
$150.65 |
$452.20
|
|
ER Visit (level 3)
|
$247.48 |
$247.48 |
$247.48 |
$770.04
|
|
ER Visit (level 4)
|
$691.15 |
$691.15 |
$691.15 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$1,081.69 |
$1,081.69 |
$1,081.69 |
$1,820.02
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$128.46 |
$128.46 |
$128.46 |
$223.99
|
|
Escharotomy ea addl incision
|
$113.85 |
$113.85 |
$113.85 |
$203.20
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
$162.84 |
$162.84 |
$162.84 |
$279.72
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$264.10 |
$264.10 |
$264.10 |
$553.88
|
|
Esophagus motility study
|
$405.26 |
$405.26 |
$405.26 |
$1,289.20
|
|
Esoph balloon distension tst
|
$405.26 |
$405.26 |
$405.26 |
$1,040.00
|
|
Esoph imped function test
|
$196.19 |
$196.19 |
$196.19 |
$597.03
|
|
Esoph imped funct test > 1hr
|
$405.26 |
$405.26 |
$405.26 |
$1,089.15
|
|
Established Patient Office Visit (level 1)
|
$62.10 |
$62.10 |
$62.10 |
$120.25
|
|
Established Patient Office Visit (level 2)
|
$87.17 |
$87.17 |
$87.17 |
$132.72
|
|
Established Patient Office Visit (level 3)
|
$112.01 |
$112.01 |
$112.01 |
$183.00
|
|
Established Patient Office Visit (level 4)
|
$124.43 |
$124.43 |
$124.43 |
$231.75
|
|
Established Patient Office Visit (level 5)
|
$136.85 |
$136.85 |
$136.85 |
$280.33
|
|
Estradiol total
|
$116.38 |
$116.38 |
$116.38 |
$146.50
|
|
Estradiol valerate 10 mg inj
|
$254.77 |
$254.77 |
$254.77 |
$57.35
|
|
Estrogens total-sendout
|
$19.32 |
$19.32 |
$19.32 |
$96.20
|